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Impact of a modified nursing handover model for improving nursing care and documentation in the emergency department: A pre- and post-implementation study

Kerr, Debra, Klim, Sharon, Kelly, Anne-Maree and McCann, Terence 2016, Impact of a modified nursing handover model for improving nursing care and documentation in the emergency department: A pre- and post-implementation study, International journal of nursing practice, vol. 22, no. 1, pp. 89-97, doi: 10.1111/ijn.12365.

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Title Impact of a modified nursing handover model for improving nursing care and documentation in the emergency department: A pre- and post-implementation study
Author(s) Kerr, DebraORCID iD for Kerr, Debra orcid.org/0000-0002-2956-2432
Klim, Sharon
Kelly, Anne-Maree
McCann, Terence
Journal name International journal of nursing practice
Volume number 22
Issue number 1
Start page 89
End page 97
Total pages 9
Publisher Wiley
Place of publication Milton, Qld.
Publication date 2016-02
ISSN 1322-7114
Keyword(s) documentation
ED nursing
nursing handover
patient safety
quality improvement
Summary The aim of this study was to evaluate whether implementation of a new nursing handover model led to improved completion of nursing care activities and documentation. A pre- and post-implementation study, using a survey and document audit, was conducted in a hospital ED in Melbourne. A convenience sample of nurses completed the survey at baseline (n = 67) and post-intervention (n = 59), and the audit was completed at both time points. Results showed significant improvements in several processes: handover in front of the patient (P < 0.001), patients contributed and/or listened to handover discussions (P < 0.001), and provision of adequate information about all patients in the department (P < 0.001). Nurses also reported a reduction in omission of vital signs (P = 0.022) during handover. Three hundred sixty-eight medical records were audited in the two study periods: 173 (pre-intervention) and 195 (post-intervention). Statistically significant improvements in the completion of two nursing care tasks and three documentation items were identified. The findings suggest that implementation of a new handover model improved completion of nursing care activities and documentation, and transfer of important information to nurses on oncoming shifts.
Language eng
DOI 10.1111/ijn.12365
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089433

Document type: Journal Article
Collection: School of Nursing and Midwifery
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